Abstract
Energy efficiency in hospitals—where continuous operation with high internal gains and strict comfort needs—demands facade strategies tailored to climate. This study quantifies how the window-to-wall ratio (WWR) distribution and city-specific envelope properties affect the annual heating and cooling loads of a four-story, 3000 m2 hospital in Turkey. Energy simulations were conducted using DesignBuilder (2021) with EnergyPlus under a controlled modeling framework, following ASHRAE healthcare guidelines for internal loads and TS 825:2024 for envelope compliance. Three locations were selected to span national variability: Bursa (Marmara—temperate/transition), Mersin (Mediterranean—hot–humid), and Kars (humid continental—cold). Scenario 1 (S1) assigned a graduated WWR on the south facade by floor—20%, 30%, 40%, and 50% from ground to top—while the north, east, and west facades were held at 20%, 30%, and 20%. Scenario 2 (S2) preserved the same geometry and WWR values but applied the graduated WWR to the north facade instead, keeping the south at 20%, east at 30%, and west at 20%. Within each city, opaque and glazing properties were kept constant across scenarios to isolate WWR–orientation effects. For every city–scenario combination, annual space-heating and space-cooling loads were computed, and window heat gains and losses were analyzed on the facade with variable WWR to support interpretation of performance mechanisms. The results indicate that S2 outperforms S1 in Mersin, S1 outperforms S2 in Kars, and S2 offers a moderate advantage in Bursa.